Organization Active NPI

Caribbean Healthcare Management Group LLC

  • Specialist
  • San Juan, PR
National Provider Identifier
1376075614
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CARIBBEAN HEALTHCARE MANAGEMENT GROUP LLC
Practice address
150 Ave de Diego Ste 1
San Juan Health Centre
San Juan, PR 00907-2309
Phone
(787) 798-0100
NPI assigned
Mar 28, 2017
Last updated
Aug 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pedro J Beauchamp, MDNPI 1578695805
Title
President
Phone
(787) 798-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

150 Ave de Diego Ste 1
San Juan Health Centre
San Juan, PR 00907-2309

Mailing address

150 Ave de Diego Ste 1
San Juan Health Centre
San Juan, PR 00907-2309
Phone (787) 798-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190506001121 PR Part B Supplier - Clinic/Group Practice 0244572634 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Tax ID family
Caribbean Healthcare Management Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1376075614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 AVE DE DIEGO STE 1",
            "address_2": "SAN JUAN HEALTH CENTRE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072309",
            "telephone_number": "787-798-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 AVE DE DIEGO STE 1",
            "address_2": "SAN JUAN HEALTH CENTRE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072309",
            "telephone_number": "787-798-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIBBEAN HEALTHCARE MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "BEAUCHAMP",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-798-0100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.